During the past 20 years, the brain trauma community’s approach to guideline development has evolved as the science and application of evidence-based medicine has advanced. This new iteration of the guidelines reflects the most current methodologic standards and establishes more rigorous procedures for future work. As a result, the guidelines include changes in the evaluation of previous work, an increase in the quality of the included studies, and essential improvements in the precision of the recommendations.

J. Bradley Elder, MD

Ryan Kitagawa, MD

Carlos M. Alvarez, MD

Rushikesh Joshi, MD